Therapists in Montrose, CA

Photo of Rachel England, MA, AMFT, Marriage & Family Therapist Associate
Rachel England
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
2 Endorsed
Montrose, CA 91020  (Online Only)
Waitlist for new clients
I believe that every person has the capacity to change from within. I see my role as a therapist to walk alongside and hold space for you to connect with yourself - to your body, your inner resources, and your wisdom. Together, we can make meaning of your past while increasing safety and joy in the present so that you can step into your chosen future. Many of my clients experience doubts about their worthiness and their ability to change engrained patterns or heal from past wounds. They struggle with people-pleasing, codependency, perfectionism, chronic shame, unexpressed grief, and connecting to their intuition.
I believe that every person has the capacity to change from within. I see my role as a therapist to walk alongside and hold space for you to connect with yourself - to your body, your inner resources, and your wisdom. Together, we can make meaning of your past while increasing safety and joy in the present so that you can step into your chosen future. Many of my clients experience doubts about their worthiness and their ability to change engrained patterns or heal from past wounds. They struggle with people-pleasing, codependency, perfectionism, chronic shame, unexpressed grief, and connecting to their intuition.
(818) 960-1584 View (818) 960-1584
Photo of Christina G Mitchell, MA, LMFT, Marriage & Family Therapist
Christina G Mitchell
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Montrose, CA 91020
If you're someone who's had trauma, an illness, recent loss, relationship struggles strong emotions of anger and/or saddness that are getting in the way of living fully, I'm here, bringing my 20+ years experience helping folks work through barriers to lasting change. Often past experiences cause us to develop creative ways of surviving that don't function well with our current life. I work with folks on processing their present concerns while keeping an open door to looking at the past and dreams that inform, revealing the source of repeating patterns. I help people to transform their pain into new meaningful emotional experience.
If you're someone who's had trauma, an illness, recent loss, relationship struggles strong emotions of anger and/or saddness that are getting in the way of living fully, I'm here, bringing my 20+ years experience helping folks work through barriers to lasting change. Often past experiences cause us to develop creative ways of surviving that don't function well with our current life. I work with folks on processing their present concerns while keeping an open door to looking at the past and dreams that inform, revealing the source of repeating patterns. I help people to transform their pain into new meaningful emotional experience.
(818) 457-6957 View (818) 457-6957
Photo of Kimberly Wolz, ATR-BC, Art Therapist
Kimberly Wolz
Art Therapist, ATR-BC
Verified Verified
1 Endorsed
Montrose, CA 91020
Sometimes life's challenges can be overwhelming to the point where we feel like we just can't cope anymore. Tensions mount until the smallest catalyst acts as a tipping point and we break down, shut down or lash out. Art therapy can provide a safe outlet to manage thoughts and emotions that threaten to overwhelm you. Creative self expression in a therapeutic environment with a trained and credentialed Art Therapist can help you explore your triggers and subsequent thoughts and emotions in a safe and healing space.
Sometimes life's challenges can be overwhelming to the point where we feel like we just can't cope anymore. Tensions mount until the smallest catalyst acts as a tipping point and we break down, shut down or lash out. Art therapy can provide a safe outlet to manage thoughts and emotions that threaten to overwhelm you. Creative self expression in a therapeutic environment with a trained and credentialed Art Therapist can help you explore your triggers and subsequent thoughts and emotions in a safe and healing space.
(818) 369-3831 View (818) 369-3831
Photo of Tara Gilmaher, LMFT, MFA, CHT, Marriage & Family Therapist
Tara Gilmaher
Marriage & Family Therapist, LMFT, MFA, CHT
Verified Verified
Montrose, CA 91020  (Online Only)
"I am not what happened to me. I am what I choose to become." ~ Carl Jung. Do you feel overwhelmed, have pain, grief, anxiety, depression, or unseen shadows that prevent you from healing or from choosing better decisions, relationships, and allowing yourself to matter in your own life? My experience and education can help people hungering for more purpose, fulfillment, and nurturing relationships instead of dissonance, exhaustion, and sacrifice, those who know what you were aiming for, but discovered you’re at the top of the wrong ladder. If you feel like you’re different or unseen, then I may be the psychotherapist you’ve sought.
"I am not what happened to me. I am what I choose to become." ~ Carl Jung. Do you feel overwhelmed, have pain, grief, anxiety, depression, or unseen shadows that prevent you from healing or from choosing better decisions, relationships, and allowing yourself to matter in your own life? My experience and education can help people hungering for more purpose, fulfillment, and nurturing relationships instead of dissonance, exhaustion, and sacrifice, those who know what you were aiming for, but discovered you’re at the top of the wrong ladder. If you feel like you’re different or unseen, then I may be the psychotherapist you’ve sought.
(805) 303-5321 View (805) 303-5321
Photo of Cheryl Tarnofsky, LMFT, Marriage & Family Therapist
Cheryl Tarnofsky
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Montrose, CA 91020  (Online Only)
To an outsider, your life might look pretty good, but deep down inside you feel dissatisfied, disconnected, and unlovable. You give your all to others, and yet your own tank feels empty. You stay really busy (too busy!) to avoid feeling anything unpleasant and to distract from the self-doubting voices in your head. It's so difficult to get what you need when you feel like you don't even deserve it.
To an outsider, your life might look pretty good, but deep down inside you feel dissatisfied, disconnected, and unlovable. You give your all to others, and yet your own tank feels empty. You stay really busy (too busy!) to avoid feeling anything unpleasant and to distract from the self-doubting voices in your head. It's so difficult to get what you need when you feel like you don't even deserve it.
(323) 689-5971 View (323) 689-5971
Photo of Melissa Carey, LMFT, MA, Marriage & Family Therapist
Melissa Carey
Marriage & Family Therapist, LMFT, MA
Verified Verified
Montrose, CA 91020
Making the choice to come to therapy requires an incredible amount of courage. From the first interaction I hope to convey my deep respect for choosing to look at the parts of ourselves that are not working. Exploring what has you stuck can seem daunting and frustrating. My viewpoint of clients, is that they are strong, capable and willing to engage with themselves from a perspective of learning and growth. Therapy allows for us to heal in the context of a relationship, allowing for the creation of new narratives about our ability to trust, connect, and give and receive care.
Making the choice to come to therapy requires an incredible amount of courage. From the first interaction I hope to convey my deep respect for choosing to look at the parts of ourselves that are not working. Exploring what has you stuck can seem daunting and frustrating. My viewpoint of clients, is that they are strong, capable and willing to engage with themselves from a perspective of learning and growth. Therapy allows for us to heal in the context of a relationship, allowing for the creation of new narratives about our ability to trust, connect, and give and receive care.
(310) 929-6426 View (310) 929-6426
Photo of Bonnie Brazell, MA, AMFT, Marriage & Family Therapist Associate
Bonnie Brazell
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Montrose, CA 91020
Often times the greatest barrier to our healing is feeling like we are alone and have to fix things ourselves. We were never meant to walk this life alone. This is why it is my commitment as a therapist to create a safe and nonjudgmental environment where you can receive hope in the healing process.
Often times the greatest barrier to our healing is feeling like we are alone and have to fix things ourselves. We were never meant to walk this life alone. This is why it is my commitment as a therapist to create a safe and nonjudgmental environment where you can receive hope in the healing process.
(949) 997-1265 View (949) 997-1265
Photo of Jeffrey Newburg, LMFT, MS, Marriage & Family Therapist
Jeffrey Newburg
Marriage & Family Therapist, LMFT, MS
Verified Verified
1 Endorsed
Montrose, CA 91020
The judgments come from all sides – your family, peers, your community. For such a long time, you’ve heard their toxic words: “You’re not good enough.” “You’re broken.” “You’re worthless.” And the worst part is, you've started to believe it yourself. The external chorus of criticism has become indistinguishable from your own inner voice. You've carried the weight of these unfair judgments admirably – constantly pushing forward and doing what you need to survive. But you can feel yourself slowly crumbling under the pressure. You can’t go on like this. But your shame has become so familiar that you’re unsure how to live without it.
The judgments come from all sides – your family, peers, your community. For such a long time, you’ve heard their toxic words: “You’re not good enough.” “You’re broken.” “You’re worthless.” And the worst part is, you've started to believe it yourself. The external chorus of criticism has become indistinguishable from your own inner voice. You've carried the weight of these unfair judgments admirably – constantly pushing forward and doing what you need to survive. But you can feel yourself slowly crumbling under the pressure. You can’t go on like this. But your shame has become so familiar that you’re unsure how to live without it.
(626) 779-9476 View (626) 779-9476
Photo of Dr. Erin O'Callaghan, PhD, Psychologist
Dr. Erin O'Callaghan
Psychologist, PhD
Verified Verified
Montrose, CA 91020
Are you a parent who is concerned about their child or teenager's anxiety, depression, attention, social skills, or school functioning? I am here to help. I am a licensed psychologist who has 20 years of experience working with children, teens, young adults, families, and parents. I have specific expertise in treating anxiety, depression, and ADHD in children, teens, and young adults. I use therapy approaches that are evidence-based so your child or teen and family can feel better soon, and cope better with their problems. I also conduct psychoeducational and neuropsychological assessments to diagnose learning problems, & ADHD.
Are you a parent who is concerned about their child or teenager's anxiety, depression, attention, social skills, or school functioning? I am here to help. I am a licensed psychologist who has 20 years of experience working with children, teens, young adults, families, and parents. I have specific expertise in treating anxiety, depression, and ADHD in children, teens, and young adults. I use therapy approaches that are evidence-based so your child or teen and family can feel better soon, and cope better with their problems. I also conduct psychoeducational and neuropsychological assessments to diagnose learning problems, & ADHD.
(818) 650-3161 View (818) 650-3161
Photo of Sandra Lee Muldoon - Counseling Services In Montrose, CSAC, MA, LMFT, Marriage & Family Therapist
Counseling Services In Montrose
Marriage & Family Therapist, CSAC, MA, LMFT
Verified Verified
Montrose, CA 91020
My specific areas of training and practice have included: adults, adolescents, and couples. I also have experience with crisis intervention in L.A. County ERs and critical incident stress debriefing for EAP employees. I have worked for Inpatient/Outpatient hospitals; Community-based Mental Health clinics; Ventura County Jail; Residential substance abuse treatment facilities; high schools; as well as my private practice, counseling a diverse population. I have been on Medical Staff at USC Verdugo Hills Hospital, and Aurora Charter Oaks Hospital.
My specific areas of training and practice have included: adults, adolescents, and couples. I also have experience with crisis intervention in L.A. County ERs and critical incident stress debriefing for EAP employees. I have worked for Inpatient/Outpatient hospitals; Community-based Mental Health clinics; Ventura County Jail; Residential substance abuse treatment facilities; high schools; as well as my private practice, counseling a diverse population. I have been on Medical Staff at USC Verdugo Hills Hospital, and Aurora Charter Oaks Hospital.
(818) 918-2654 View (818) 918-2654
Photo of Elisa Rosenblatt Pomerantz, MA, LMFT, Marriage & Family Therapist
Elisa Rosenblatt Pomerantz
Marriage & Family Therapist, MA, LMFT
Verified Verified
Montrose, CA 91020
Hello, welcome to my page. If you are emotionally suffering and want to feel better about yourself and the possibilities ahead, I would like the opportunity to talk with you. I am dedicated and passionate about working collaboratively with individuals who desire personal growth and increased self awareness. Choosing to work on oneself in therapy is both a life affirming and courageous decision and I consider it a deep privilege to be a part of that journey. By participating in a supportive therapeutic process , you can begin to understand and honor your life experiences with a new perspective and an increased sense of vitality.
Hello, welcome to my page. If you are emotionally suffering and want to feel better about yourself and the possibilities ahead, I would like the opportunity to talk with you. I am dedicated and passionate about working collaboratively with individuals who desire personal growth and increased self awareness. Choosing to work on oneself in therapy is both a life affirming and courageous decision and I consider it a deep privilege to be a part of that journey. By participating in a supportive therapeutic process , you can begin to understand and honor your life experiences with a new perspective and an increased sense of vitality.
(818) 237-9589 View (818) 237-9589
Photo of Jacqueline Bush, AMFT, Marriage & Family Therapist Associate
Jacqueline Bush
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Montrose, CA 91020
Hi, my name is Jacqueline and I am a trauma-informed AMFT specializing in attachment repair and grief. If you are frustrated with your relationships, whether single or in partnership, or dealing with the loss of a loved one, I am your person. I specialize in working with men and couples. I strongly believe in a fully comprehensive approach to healing for lasting change and am very passionate about the mind-body approach and more progressive techniques. I have received specialized training in EMDR, somatics, and grief. While newer to my skill set, I am also training in the highly effective DBT.
Hi, my name is Jacqueline and I am a trauma-informed AMFT specializing in attachment repair and grief. If you are frustrated with your relationships, whether single or in partnership, or dealing with the loss of a loved one, I am your person. I specialize in working with men and couples. I strongly believe in a fully comprehensive approach to healing for lasting change and am very passionate about the mind-body approach and more progressive techniques. I have received specialized training in EMDR, somatics, and grief. While newer to my skill set, I am also training in the highly effective DBT.
(818) 464-4319 View (818) 464-4319
Photo of Sheridan Ann Jackson, LCSW, Clinical Social Work/Therapist
Sheridan Ann Jackson
Clinical Social Work/Therapist, LCSW
Verified Verified
Montrose, CA 91020  (Online Only)
My goal is always to help you achieve your goals and to support you in your efforts to live the life you want to live. My basic orientation is psychodynamic, but I'm flexible in my approach. I honor the individuality of each person with whom I work. I believe in the strength of the human spirit and the possibilities of change for anyone who desires it.
My goal is always to help you achieve your goals and to support you in your efforts to live the life you want to live. My basic orientation is psychodynamic, but I'm flexible in my approach. I honor the individuality of each person with whom I work. I believe in the strength of the human spirit and the possibilities of change for anyone who desires it.
(213) 693-4401 View (213) 693-4401
Photo of Herbert Takhmazyan, MA, LMFT, Marriage & Family Therapist
Herbert Takhmazyan
Marriage & Family Therapist, MA, LMFT
Verified Verified
Montrose, CA 91020
I am a psychotherapist specializing in depth-oriented therapy, helping clients who experience symptoms and behaviors with unconscious roots. By exploring the symbolic nature of these issues, we can uncover their deeper meaning and find solutions beyond surface-level interventions. I believe in the power of self-actualization and help clients overcome inner conflicts that hinder their potential. We work collaboratively to identify the underlying needs and develop a personalized treatment plan that may utilize various approaches, including solution-focused, cognitive-behavioral, and depth-psychological techniques.
I am a psychotherapist specializing in depth-oriented therapy, helping clients who experience symptoms and behaviors with unconscious roots. By exploring the symbolic nature of these issues, we can uncover their deeper meaning and find solutions beyond surface-level interventions. I believe in the power of self-actualization and help clients overcome inner conflicts that hinder their potential. We work collaboratively to identify the underlying needs and develop a personalized treatment plan that may utilize various approaches, including solution-focused, cognitive-behavioral, and depth-psychological techniques.
(424) 295-0811 View (424) 295-0811
Photo of Kimberly Ramirez, AMFT, Marriage & Family Therapist Associate
Kimberly Ramirez
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Montrose, CA 91020  (Online Only)
Asking for support can be daunting. Therapy is a transformative process that invites you to uncover your strengths and embrace your journey. As a daughter of immigrants, my journey to becoming a therapist is shaped by cultural expectations and the silent stigma surrounding mental health in my community. This experience fuels my passion for supporting individuals navigating cultural identity and mental wellness intersections. Fluent in Spanish, I am dedicated to offering a culturally sensitive space.
Asking for support can be daunting. Therapy is a transformative process that invites you to uncover your strengths and embrace your journey. As a daughter of immigrants, my journey to becoming a therapist is shaped by cultural expectations and the silent stigma surrounding mental health in my community. This experience fuels my passion for supporting individuals navigating cultural identity and mental wellness intersections. Fluent in Spanish, I am dedicated to offering a culturally sensitive space.
(747) 298-6187 View (747) 298-6187
Photo of Skyller Tritch, AMFT, Marriage & Family Therapist Associate
Skyller Tritch
Marriage & Family Therapist Associate, AMFT
Verified Verified
Montrose, CA 91020
Are you experiencing difficulty with work, creative projects, or relationships? You can imagine what your life would look like if all of your stress were to disappear magically, but you don't know where to start. You know yourself best, and as your therapist, we would work together to create a treatment plan that best serves your needs and build coping skills to empower you to live authentically.
Are you experiencing difficulty with work, creative projects, or relationships? You can imagine what your life would look like if all of your stress were to disappear magically, but you don't know where to start. You know yourself best, and as your therapist, we would work together to create a treatment plan that best serves your needs and build coping skills to empower you to live authentically.
(747) 281-4644 View (747) 281-4644
Photo of Tatiana Pinkley, PsyD, Psychological Associate
Tatiana Pinkley
Psychological Associate, PsyD
Verified Verified
1 Endorsed
Montrose, CA 91020  (Online Only)
I am passionate about working with Latine and Spanish-speaking clients and helping to remove some of the stigma mental health services and topics have in the Latine community.
I am passionate about working with Latine and Spanish-speaking clients and helping to remove some of the stigma mental health services and topics have in the Latine community.
(747) 302-4883 View (747) 302-4883
Photo of Fimi A. Azizian - Fimi Azizian, Psy.D, PsyD, Psychologist
Fimi Azizian, Psy.D
Psychologist, PsyD
Verified Verified
Montrose, CA 91020
Not feeling like your "usual self" but can't figure out why? Are you irritable, uninterested in your previously enjoyable activities, or disengaged from daily life? Is your mind replaying old scenarios or repeating "What if" questions and worrisome thoughts? Perhaps your current coping skills just aren't hitting the mark this time... Involved in a relationship where either you or your partner seem plagued by "trust issues", insecurity, and revolving arguments? Are you seeing changes in expressions of love and sexual interest or thinking "my significant other doesn't understand me?"
Not feeling like your "usual self" but can't figure out why? Are you irritable, uninterested in your previously enjoyable activities, or disengaged from daily life? Is your mind replaying old scenarios or repeating "What if" questions and worrisome thoughts? Perhaps your current coping skills just aren't hitting the mark this time... Involved in a relationship where either you or your partner seem plagued by "trust issues", insecurity, and revolving arguments? Are you seeing changes in expressions of love and sexual interest or thinking "my significant other doesn't understand me?"
(319) 463-3345 View (319) 463-3345
Photo of John Loppnow, MS MFT, Marriage & Family Therapist
John Loppnow
Marriage & Family Therapist, MS MFT
Verified Verified
2 Endorsed
Montrose, CA 91020
Are you successful in many areas of your life, but feeling stuck with an important relationship? Or, possibly anxiety or anger? I can collaborate with you to find creative ways to identify areas of strength as well as unproductive ways of coping.
Are you successful in many areas of your life, but feeling stuck with an important relationship? Or, possibly anxiety or anger? I can collaborate with you to find creative ways to identify areas of strength as well as unproductive ways of coping.
(818) 717-7299 View (818) 717-7299
Photo of Sungshim Park Loppnow, MS, LMFT, Marriage & Family Therapist
Sungshim Park Loppnow
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Montrose, CA 91020
Are you tired of being unable to do the things you want to do, but repeatedly do the things you do not want to do? Are your best intentions producing the kind of relational fruit you desire in your relationships? The invisible pain from the emotional, relational, and spiritual realm activates the same region of your brain that is under physical pain. The need for proper attention and treatment for this invisible pain is as urgent and necessary as physical pain. Your pain will be properly metabolized through validation and comfort and ready to be resurrected as wisdom, strength, and compassion
Are you tired of being unable to do the things you want to do, but repeatedly do the things you do not want to do? Are your best intentions producing the kind of relational fruit you desire in your relationships? The invisible pain from the emotional, relational, and spiritual realm activates the same region of your brain that is under physical pain. The need for proper attention and treatment for this invisible pain is as urgent and necessary as physical pain. Your pain will be properly metabolized through validation and comfort and ready to be resurrected as wisdom, strength, and compassion
(626) 261-7158 View (626) 261-7158
1

See more therapy options for Montrose

How does your Therapist compare?

Number of Therapists in Montrose, CA

40+

Average cost per session

$185

Therapists in Montrose, CA who prioritize treating:

100% Anxiety
88% Relationship Issues
88% Depression
83% Self Esteem
76% Trauma and PTSD
68% Grief
63% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

56% Cigna and Evernorth
50% Aetna
39% Other

How Therapists in Montrose, CA see their clients

79% In Person and Online
21% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Montrose?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.